Nutrition Assessment | Skills Pool
Nutrition Assessment Body condition score (1-9 scale), muscle condition score (MCS), RER/MER calculations (RER = 70 × BW^0.75), species-specific requirements (obligate carnivore cats, taurine, arginine), diet-related diseases, renal diet, hepatic diet formulations.
OpenVet-Projects 7 estrellas 18 mar 2026 Ocupación Categorías Bienestar y Salud Contenido de la habilidad
Overview
Comprehensive nutritional evaluation using validated scoring systems, energy requirement calculations, and species-specific dietary protocols. Includes therapeutic diet formulation for common diseases and nutrient requirement guidelines.
When to Use
User assesses body condition, determines appropriate feeding plan, or manages diet-related disease
User needs RER/MER calculation, BCS interpretation, or therapeutic diet selection
Keywords: nutrition, diet, BCS, body condition, RER, MER, obesity, weight loss, kidney disease, hepatic disease, taurine, arginine, protein
Body Condition Scoring (BCS) - 1-9 Scale
Scoring :
BCS Category Description Appearance Palpation 1 Emaciated Ribs, spine, pelvis visible; no fat Severe muscle loss; sunken appearance
Instalación rápida
Nutrition Assessment npx skillvault add OpenVet-Projects/openvet-projects-vetclaw-skills-clinical-nutrition-assessment-skill-md
estrellas 7
Actualizado 18 mar 2026
Ocupación 2 Underweight Ribs/spine visible; minimal fat Thin appearance; waist visible Thin fat layer; ribs easily felt
3 Underweight Ribs easily felt; slight waist Lean appearance Minimal fat; ribs prominent
4 Ideal Ribs easily palpable, slight waist Well-proportioned; firm Rib fat minimal; waist visible
5 Ideal Ribs palpable but not visible; well-defined waist Proportionate; healthy appearance Moderate fat; ribs easily felt
6 Overweight Ribs difficult to feel; no waist Slightly rounded Moderate fat; ribs felt with pressure
7 Overweight Ribs barely palpable; no waist/abdominal tuck Rounded; fat deposits visible Thick fat layer; ribs felt with pressure
8 Obese Ribs not palpable; heavy fat deposits Distended abdomen; no definition Thick fat; ribs non-palpable
9 Severely Obese Massive fat deposits; mobility limited Severely distended; immobile Massive fat; ribs impalpable
Ideal BCS : 4-5 (9-point scale); associated with longest lifespan, fewest weight-related comorbidities
Muscle Condition Score (MCS) - 1-3 Scale Separate from BCS : Addresses sarcopenia (muscle loss) independent of fat status; critical in geriatric and chronic disease assessment
MCS Description Indicators 1 (Poor) Severe muscle wasting; ribs/spine/pelvis prominent; marked muscle loss Age-related muscle loss, cancer, protein-calorie malnutrition, disuse 2 (Fair) Moderate muscle; ribs palpable; some muscle definition loss Normal aging, mild illness, recovery phase 3 (Ideal) Normal muscle mass; ribs palpable; muscle contours visible Appropriate protein/exercise
Target : MCS 2-3; maintain during weight loss/disease management
Energy Requirement Calculations
Resting Energy Requirement (RER) Formula : RER (kcal/day) = 70 × [body weight in kg]^0.75
5 kg cat: RER = 70 × (5)^0.75 = 70 × 3.34 = 234 kcal/day
20 kg dog: RER = 70 × (20)^0.75 = 70 × 9.2 = 644 kcal/day
50 kg dog: RER = 70 × (50)^0.75 = 70 × 17.7 = 1,239 kcal/day
Maintenance Energy Requirement (MER) Formula : MER = RER × Activity Factor
Condition Activity Factor Multiplier Resting/sedentary 1.0-1.2 RER × 1.0-1.2 Moderately active indoor 1.5 RER × 1.5 Active/exercise 1.8-2.0 RER × 1.8-2.0 Very active/working dogs 2.0-3.0 RER × 2.0-3.0 Geriatric/weight loss 0.8-1.0 RER × 0.8-1.0 Post-operative recovery 1.25 RER × 1.25 Illness/stress 1.0-1.35 RER × 1.0-1.35 Sepsis/trauma 1.5-2.0 RER × 1.5-2.0
Weight Loss/Gain Calculation Formula : (Target weight RER - Current weight RER) × factor = daily caloric adjustment
Reduce by 10-25% of MER for weight loss (0.25 kcal/g: 10% weight loss = ~500 kcal reduction in 50 kg dog)
Target: 1-2% body weight loss weekly (slow loss preferred to preserve muscle)
Example (20 kg dog, BCS 7, target 15 kg) :
Current MER: 644 kcal/day × 1.5 = 966 kcal/day
Target MER (15 kg): 414 kcal/day × 1.5 = 621 kcal/day
Daily reduction: 966 - 621 = 345 kcal/day, or reduce current diet by ~35%
Weight loss rate: (5 kg × 10%) ÷ 52 weeks = ~0.1 kg/week
Species-Specific Dietary Requirements
Dogs (Omnivorous)
Protein: 18-25% (dry matter); higher for growth/lactation, working dogs
Fat: 10-18% (essential fatty acids); omega-6:omega-3 optimal ratio 5-10:1
Carbohydrate: 30-40% (fermentable fiber source for GI health)
Micronutrients : Calcium:phosphorus optimal ratio 1.2-1.5:1 (excess calcium/phosphorus impairs absorption)
Common diet-related diseases :
Obesity (avoid overfeeding; select low-calorie treats; exercise essential)
Food allergies (chicken, beef, dairy, wheat common; elimination diet diagnostic)
Pancreatitis (restrict fat to <10%; avoid table scraps)
Developmental orthopedic disease (large breed puppies: controlled calcium, phosphorus, calories)
Cats (Obligate Carnivores)
Protein: 30-40% (dry matter); higher than dogs; cannot synthesize taurine, arginine, or vitamin A from plant sources
Fat: 10-15% (essential fatty acids; arachidonic acid critical—cannot be synthesized from linoleic acid)
Carbohydrate: <10% (cats lack necessary enzymes; high carbs associated with diabetes)
Essential Micronutrients :
Taurine : 400-500 mg/kg (diet); deficiency → dilated cardiomyopathy, retinal degeneration; AAFCO requirements 0.1% (dry matter)Arginine : 1-1.2% (dry matter); deficiency → hyperammonemia, hepatic encephalopathy; one meal without arginine can trigger clinical signsVitamin A : Must be pre-formed retinol (cats cannot convert beta-carotene); no carotenoid synthesisArachidonic acid : Essential for skin/immune function; not synthesized from linoleic acid Common diet-related diseases :
Diabetes (high-carbohydrate diets increase risk; low-carb diets (<12%) improve glycemic control/remission)
Urinary tract disease (acidifying diets reduce struvite; avoid excessive magnesium; ensure adequate hydration)
Hyperthyroidism (iodine restriction controversial; ensure taurine/arginine intake)
Chronic kidney disease (protein quality important, not quantity; phosphorus restriction critical)
Chronic Kidney Disease (CKD) Goals : Slow progression; manage mineral dysregulation; control uremia symptoms
Parameter Target Protein Moderate (14-18% dry matter); high-quality source; reduce uremia without malnutrition Phosphorus Restricted (0.3-0.6% dry matter); critical for IRIS Stages 2-4 Sodium Moderate restriction (0.3-0.5%); support hypertension control Omega-3 PUFA Adequate (0.5-1%); renal protective Water Encourage (wet food, water bowls)
Examples : Hill's k/d, Royal Canin Renal, Purina ProPlan Renal; phosphate binders (calcium carbonate) if diet insufficient
Monitoring : Phosphorus, calcium, PTH q3-6 months; adjust diet/binders based on values
Hepatic (Liver) Disease Goals : Reduce hepatic workload; maintain protein while avoiding encephalopathy; support detoxification
Parameter Target Protein Moderate (14-18% dogs, 20-30% cats); digestible, high-quality source Fat Low-moderate (5-8%); MCT (medium-chain triglyceride) diet if malabsorption Carbohydrate Increased for calorie density (cats <10%, dogs moderate) Copper Low restriction if cirrhosis/cholestasis (<3-5 mg/kg dry matter) Zinc Adequate or supplemented (zinc acetate for hepatic encephalopathy)
Examples : Hill's l/d, Royal Canin Hepatic; lactulose added for elevated ammonia; branched-chain amino acid supplements if encephalopathy
Caution : Avoid excessive methionine/methionine precursors (copper source)
Pancreatitis Goals : Minimize pancreatic stimulation; maintain nutrition; reduce fat
Parameter Target Fat <10% dry matter (critical) Protein Moderate-high (20-25%), digestible source Fiber Moderate; digestible source Meal frequency Small, frequent meals (3-4×/day) preferred over large meals
Examples : Hill's i/d, Royal Canin Digestive Care, low-fat homemade (chicken breast, rice, vegetables)
Feeding protocol : Fast 12-24 hours if acute pancreatitis; introduce diet gradually
Nutritional Assessment Workflow
Assess body condition : BCS 1-9, MCS 1-3; trending (obesity/weight loss trajectory)Calculate requirements : RER, then MER based on activity level/disease stateEvaluate current diet : Ingredient list, protein/fat content, AAFCO certification (adult maintenance vs. growth/large-breed formulas)Consider disease-specific needs : CKD protein, renal disease phosphorus, pancreatitis fat, etc.Recommend diet/portion : Match MER; select therapeutic diet if indicated; consider owner's ability to feed consistentlyMonitor : Recheck BCS q4-6 weeks during weight loss; assess compliance, tolerance, comorbiditiesAdjust : If weight loss stalled, reduce by another 5-10%; add exercise if feasible
Key Species Differences
Dogs : More flexible omnivorous diet; taurine/arginine supplementation not required; carbohydrate tolerance highCats : Obligate carnivore; requires pre-formed taurine, arginine, arachidonic acid, vitamin A; low carbohydrate tolerance; higher protein needsRabbits : High-fiber herbivorous diet; need unlimited timothy hay; minimal pellets; inadequate fiber → GI stasisBirds : Vary by species; parrot protein 10-16%; seed-heavy diets nutritionally unbalanced (high fat, low calcium); pellets + vegetables preferred
Limitations
RER/MER calculations : Approximations; individual metabolic variation significant (±20%); trending is more reliable than absolute valuesBCS assessment : Subjective; obesity increases owner bias; ultrasound/DEXA more precise but impractical clinicallySpecies differences : Strict species-specific protocols limited by individual preference, GI tolerance, availability; therapeutic diet cost may limit complianceFood allergy diagnosis : Elimination diet gold standard but requires 8-12 weeks; poor owner compliance common; allergy testing (serology) controversial/unreliableTherapeutic diet formulation : Prescription diets expensive; homemade alternatives require nutritionist formulation to ensure balance; commercial homemade diets often nutritionally incompleteMonitoring : Cost and owner compliance limit serial bloodwork; trending BCS/appetite/activity most practical for outpatient monitoring 02
When to Use